Organization
PROHEALTH PHARMACY INC
Active
Other names
ProHealth Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GARDNER PHARMD (OWNER)
(336) 719-6006
Entity
Organization
Contact information
Practice address
280 N POINTE BLVD, MOUNT AIRY, NC 27030-2267
(336) 719-6010
(336) 719-6011
Mailing address
280 N POINTE BLVD, MOUNT AIRY, NC 27030-2267
(336) 719-6010
(336) 719-6011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11144
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133083
PK
—
Enumeration date
12/13/2011
Last updated
01/12/2015
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